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Reza Movahed Dmd, Llc
Oral and Maxillofacial Surgery Clinic/Center in O Fallon, Illinois
NPI 1740703842

Reza Movahed Dmd, Llc is a Oral and Maxillofacial Surgery Clinic/Center based in Columbia, IL and is specialized in Oral and Maxillofacial Surgery. Reza Movahed Dmd, Llc practices in O Fallon, IL. The NPI Number for Reza Movahed Dmd, Llc is 1740703842 and holds a License No. (Illinois).

The current practice location address for Reza Movahed Dmd, Llc is 624 Pierce Blvd Ste 200, O Fallon, IL and can be reached out via phone at 618-206-2630 and via fax at 618-206-2631.

Location: 624 Pierce Blvd Ste 200, O Fallon, IL, 62236-2163
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740703842
Provider Name
Reza Movahed Dmd, Llc
Credential
Provider Entity Type
Organization
Address
624 Pierce Blvd Ste 200, O Fallon, IL, 62236-2163
Phone Number
618-206-2630
Fax Number
618-206-2631
Provider Enumeration Date
07/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
624 Pierce Blvd Ste 200
City
O Fallon
State
Illinois
Zip
62269-2582
Phone Number
618-206-2630
Fax Number
618-206-2631
person
Provider Business Mailing Address Details
Address
624 Pierce Blvd Ste 200
City
O Fallon
State
Illinois
Zip
62269-2582
Phone Number
618-206-2630
Fax Number
618-206-2631
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
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Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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